Individual provider Active NPI

Kyanne Wear, LCSW

  • Clinical Social Worker
  • Billings, MT
National Provider Identifier
1083910772
Registry record updated Dec 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
986 Issued in MT
Practice address
404 30TH St W
Billings, MT 59102-4511
Phone
(406) 647-3165
NPI assigned
Jan 28, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 986 MT Primary

Addresses

Primary practice location

404 30TH St W
Billings, MT 59102-4511

Mailing address

PO Box 20193
Billings, MT 59104-0193
Phone (406) 647-3165

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191007000664 MT Practitioner - Clinical Social Worker 4486985421 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sentinel Mental Health IncGroup PAC ID 8820489743, 11 clinicians

Practice addresses (Care Compare)

1645 Ave D
Suite C
Billings, MT 59102-3043
Phone (406) 272-2511

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
986MTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
SCL Health Medical Group - Billings LLC CurrentSince Sep 1, 2019 Accepting new patients
Sentinel Mental Health Inc Clinical CurrentSince Oct 1, 2021 Accepting new patients
SCL Health Medical Group - Billings, LLC CurrentSince Sep 1, 2019 Accepting new patients

Locations

1645 Avenue D
Ste C
Billings, MT 59102
Phone (406) 272-2511

32 Wicks Ln
Billings, MT 59105
Phone (406) 237-8300

1233 N 30th St
Billings, MT 59101
Phone (406) 237-3850

16 N Miles Ave
Hardin, MT 59034
Phone (406) 665-2205

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1296172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450224000000",
    "number": "1083910772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20193",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591040193",
            "telephone_number": "406-647-3165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 30TH ST W",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591024511",
            "telephone_number": "406-647-3165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAR",
        "first_name": "KYANNE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-28",
        "last_updated": "2015-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Billings, MT

Sources for this page

Verify at the official NPI Registry.